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Epidural Hematoma Secondary to Removal of an Epidural Catheter After a Total Knee ReplacementA Case Report
Sokratis E. Varitimidis, MD1; Konstantinos Paterakis, MD1; Zoe H. Dailiana, MD1; Michalis Hantes, MD1; Stavroula Georgopoulou, MD1
1 Departments of Orthopaedics (S.E.V., Z.H.D., and M.H.), Neurosurgery (K.P.), and Anesthesiology (S.G.), University of Thessalia, 41110 Larissa, Greece. E-mail address for S.E. Varitimidis: svaritimidis@ortho-uth.org
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.
Investigation performed at the Departments of Orthopaedics, Neurosurgery, and Anesthesiology, University of Thessalia, Larissa, Greece

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2007 Sep 01;89(9):2048-2050. doi: 10.2106/JBJS.F.00895
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Total knee replacement is a procedure that is typically associated with severe pain during the first few postoperative days. Continuous analgesia provided through an epidural catheter is a very effective method to relieve pain and facilitate early mobilization of the patient1. A rare complication of epidural analgesia is bleeding within the spinal canal, which can result in the formation of an epidural hematoma and, possibly, the development of a severe neurologic deficit. We report the case of a patient who sustained an epidural hematoma and subsequent paraplegia after removal of an epidural catheter that had been inserted to provide continuous postoperative analgesia. Our patient was informed that data concerning the case would be submitted for publication.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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